Glenn, Elliott Daniel

Glenn, Elliott Daniel is an individual health care provider with primary practice located at 10401 W Lincoln Ave , Milwaukee WI 53227-1255. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Endodontics is his primary health care specialty. Glenn, Elliott Daniel can be contacted via phone (414) 546-1900.

Contact Information

Primary practice address
10401 W Lincoln Ave Milwaukee WI 53227-1255
Phone: (414) 546-1900
Fax: (414) 546-1901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DDS-09873 Iowa
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RES-30529 Iowa
Dental Providers / Endodontics 1223E0200X 100226515 Wisconsin

Profile Details

NPI number 1942793104
LBN Legal business name Glenn, Elliott Daniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2018
Last updated Aug 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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